______________________________________________________________________________

________COURT

COUNTY OF ________

______ )

Plaintiff, ) WRIT OF

) GARNISHMENT

)

vs. ) Case No. _____

)

______ )

Defendant. )

TO:________.

You are now a Garnishee. AS A GARNISHEE, YOU NEED TO KNOW THE FOLLOWING:

________(who is called the "Debtor") owes money to ________ (who is called the "Creditor"). A judgment was entered against the Debtor for the debt, or the debt otherwise became subject to garnishment, on_____, 2__. The Debtor’s employer identification number, or the final four digits of the Debtor’s Social Security number, is ________ (insert if known).

The amount subject to garnishment is $_____.

This writ garnishes all of the following:

• Wages that you owe the Debtor at the time this writ is delivered to you, and all wages that the Debtor earns during the 90-day period following the date on which you receive this writ.

• All property of the Debtor (including money) that is in your possession, control or custody at the time this writ is delivered to you.

• All debts that you owe the Debtor at the time this writ is delivered to you, whether or not payment is due on the debt at the time you receive this writ.

YOU MUST ANSWER THIS WRIT BY COMPLETING THE ATTACHED GARNISHEE RESPONSE WITHIN THE TIME ALLOWED BY LAW, WHETHER OR NOT YOU HOLD ANY OF THE DEBTOR’S PROPERTY OR OWE ANYTHING TO THE DEBTOR. IF YOU DO NOT TRUTHFULLY ANSWER THIS WRIT, OR YOU DO NOT DELIVER MONEY OR PROPERTY WHEN YOU ARE REQUIRED TO DO SO, YOU WILL BE LIABLE TO THE CREDITOR.

If you have questions, you should contact an attorney. Court employees cannot give you legal advice. The Creditor’s attorney cannot give you legal advice.

A writ of garnishment may be issued only by the court administrator, by the attorney for the Creditor or by a person who is specifically authorized by law to issue garnishments. This writ is issued by (check one):

__ The court administrator

__ The attorney for the Creditor

__ Other authorized issuer:

Name and title ________

Statutory authority to issue writ ________

This writ is valid only if it has been delivered to you within 60 days after the date of issuance. If the court administrator is issuing this writ, the date of issuance is the date the court administrator signs the writ (see "COURT SEAL" below). If this writ is issued by any other person, the date of issuance is the date on which the issuer signs the certification (see "CERTIFICATION" below).

IMPORTANT ADDRESSES

________Court

Street address ________

City _____ County _____

State _____ Zip Code _____

Name ________

Telephone number (if known) _____

__ Street address ________

City _____ State _____

Zip Code _____

__ Creditor has no knowledge of Debtor’s address

__ Creditor: (Must be filled in if the court administrator issues writ.)

Name ________

Street address ________

City_____ State _____

Zip Code _____

__ Attorney for Creditor:

Name ________

Street address ________

City_____ State _____

Zip Code _____

Telephone number ________

Oregon State Bar number ______

__ Other authorized issuer of writ:

Name ________

Street address ________

City_____ State _____

Zip Code _____

Telephone number ________

CERTIFICATION

I certify that I have read this writ of garnishment and to the best of my knowledge, information and belief, there is good ground to support issuance of the writ, and the amount indicated as subject to garnishment is lawfully subject to collection by this writ.

_______________ ______, 2__

Signature Date

Oregon State Bar No. (if attorney)

COURT SEAL

Issued by the court administrator this __ day of______, 2__.

COURT ADMINISTRATOR

By _______________

______________________________________________________________________________ [2001 c.249 §59; 2003 c.85 §17; 2003 c.576 §73; 2009 c.230 §5]